MARY BLACK FAMILY MEDICINE DORMAN
NPI 1336344852
Clinic/Center - Rural Health in Roebuck, SC
About Mary Black Family Medicine Dorman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BLACK FAMILY MEDICINE DORMAN (NPI 1336344852) is a healthcare organization registered as a rural health in Roebuck, South Carolina and active in the NPI registry since June 2007. The organization lists Debbie T Brewer, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Black Physicians Group LLC's NPI number?
The NPI number for Mary Black Physicians Group LLC is 1336344852. It was assigned to this organization in the NPPES registry on June 15, 2007. The provider is doing business as Mary Black Family Medicine Dorman.
Where is Mary Black Physicians Group LLC located?
Mary Black Physicians Group LLC is located at 5229 Highway 221, Roebuck, SC 29376. The listed phone number is (864) 576-8193.
What is Mary Black Physicians Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
When was this NPI record last updated?
The NPPES record for Mary Black Physicians Group LLC was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Black Family Medicine Dorman · NPI 1336344852
Rural Health organization in Roebuck, South Carolina. Organization record, active in the CMS NPPES registry since June 15, 2007.
## Identity
- **NPI:** 1336344852 (Entity type: Organization)
- **Enumerated:** June 15, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Mary Black Physicians Group Llc
- **Organization subpart:** Yes (part of Mary Black Physicians Group Llc)
- **Authorized official:** Debbie Brewer, DIRECTOR
## Practice location
- **Address:** 5229 HIGHWAY 221, Roebuck, SC 29376-3305
- **Phone:** (864) 576-8193
## Record status
- **NPPES last updated:** August 8, 2008
- **Other identifiers:** Medicare OSCAR/certification 428993 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1336344852) · Data from the CMS NPPES public registry.